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1.
Arq Bras Oftalmol ; 87(4): e2023, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38656031

RESUMEN

Bilateral acute depigmentation of the iris and bilateral acute iris transillumination (BAIT) are similar clinical entities. The former causes acute-onset depigmentation of the iris stroma without transillumination, whereas the latter causes depigmentation of the iris pigment epithelium with transillumination. The etiopathogenesis of these conditions is not yet fully understood, but the proposed causes include the use of systemic antibiotics (especially moxifloxacin) and viral triggers. We present a case series of five female patients with a mean age of 41 (32-45) years, all of whom suffered acute onset of bilateral pain and redness of the eyes after moxifloxacin use (oral or topical). It is important for ophthalmologists to be aware of the two forms of iris depigmentation since this case series suggests that SARS-CoV-2 or its empirical treatment with moxifloxacin may trigger iris depigmentation. If this is the case, clinicians will likely see increased incidences of bilateral acute depigmentation of the iris and bilateral acute iris transillumination during and after the COVID-19 pandemic.


Asunto(s)
COVID-19 , Enfermedades del Iris , Humanos , Femenino , Adulto , Enfermedades del Iris/inducido químicamente , Persona de Mediana Edad , COVID-19/complicaciones , Brasil , Enfermedad Aguda , Moxifloxacino/efectos adversos , Moxifloxacino/uso terapéutico , Transiluminación , SARS-CoV-2 , Trastornos de la Pigmentación/inducido químicamente , Iris/patología , Antibacterianos/efectos adversos , Epitelio Pigmentado Ocular/patología , Epitelio Pigmentado Ocular/efectos de los fármacos
2.
ACS Appl Mater Interfaces ; 12(45): 50203-50211, 2020 Nov 11.
Artículo en Inglés | MEDLINE | ID: mdl-33124795

RESUMEN

Copper nanoparticles demonstrate antibacterial activity, but their toxicity to eukaryotic systems is less understood. Here, we carried out a comparative study to determine the biocompatibility and cytotoxicity of sub-10 nm copper nanoparticles to a variety of biological systems, including prokaryotic cells (Escherichia coli), yeast, mammalian cell lines (HEK293T, PC12), and zebrafish embryos. We determined the bearing threshold for the cell-death-inducing concentration of copper nanoparticles by probing cell growth, viability, as well as embryological features. To exclude the partial toxicity effect from the remnant reactants, we developed a purification approach using agarose gel electrophoresis. Purified CuONP solution inhibits bacterial growth and causes eukaryotic cell death at 170 and 122.5 ppm (w/w) during the 18 h of treatment, respectively. CuONP significantly reduces the pigmentation of retina pigmented epithelium of zebrafish embryos at 85 ppm. The cytotoxicity of CuONP in eukaryotic cells could arise from the oxidative stress induced by CuONP. This result suggests that small copper nanoparticles exert cytotoxicity in both prokaryotic and eukaryotic systems, and therefore, caution should be used to avoid direct contact of copper nanoparticles to human tissues considering the potential use of copper nanoparticles in the clinical setting.


Asunto(s)
Antibacterianos/farmacología , Cobre/farmacología , Células Eucariotas/efectos de los fármacos , Nanopartículas del Metal/química , Epitelio Pigmentado Ocular/efectos de los fármacos , Células Procariotas/efectos de los fármacos , Animales , Antibacterianos/química , Proliferación Celular/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Cobre/química , Relación Dosis-Respuesta a Droga , Escherichia coli/citología , Escherichia coli/efectos de los fármacos , Células HEK293 , Humanos , Estructura Molecular , Células PC12 , Tamaño de la Partícula , Ratas , Saccharomyces cerevisiae/citología , Saccharomyces cerevisiae/efectos de los fármacos , Relación Estructura-Actividad , Propiedades de Superficie , Pez Cebra/embriología
3.
Exp Eye Res ; 172: 10-20, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-29551335

RESUMEN

Human retinal pigment epithelial (hRPE) cells play important immune-regulatory roles in a variety of retinal pathologic processes, including the production of inflammatory cytokines that are essential mediators of the innate immune response within the ocular microenvironment. The pro-inflammatory "alarmin" cytokine IL-1α has been implicated in both infectious and non-infectious retinal diseases, but its regulation in the retina is poorly understood. The purpose of this study was to elucidate the expression and regulation of IL-1α within hRPE cells. To do this, IL-1α mRNA and protein in hRPE cells was assessed by RT-PCR, qPCR, ELISA, Western blot, and immunofluorescence following treatment with a variety of stimuli and inhibitors. ER stress, LPS, IL-1ß, and TLR2 activation all significantly increased intracellular IL-1α protein. Increasing intracellular calcium synergized both LPS- and Pam3CSK4-induced IL-1α protein production. Accordingly, blocking calcium signaling and calpain activity strongly suppressed IL-1α protein expression. Significant but more moderate inhibition occurred following blockage of TLR4, caspase-4, or caspase-1. Neutralizing antibodies to IL-1ß and TLR2 partially eliminated LPS- and TLR2 ligand Pam3CSK4-stimulated IL-1α protein production. IFN-ß induced caspase-4 expression and activation, and also potentiated LPS-induced IL-1α expression, but IFN-ß alone had no effect on IL-1α protein production. Interestingly, all inhibitors targeting the PI3K/Akt pathway, with the exception of Ly294002, strongly increased IL-1α protein expression. This study improves understanding of the complex mechanisms regulating IL-1α protein expression in hRPE cells by demonstrating that TLR4 and TLR2 stimulation and exposure to IL-1ß, ER stress and intracellular calcium all induce hRPE cells to produce intracellular IL-1α, which is negatively regulated by the PI3K/Akt pathway. Additionally, the non-canonical inflammasome pathway was shown to be involved in LPS-induced hRPE IL-1α expression through caspase-4 signaling.


Asunto(s)
Alarminas/genética , Regulación de la Expresión Génica/fisiología , Interleucina-1alfa/genética , Epitelio Pigmentado Ocular/metabolismo , Alarminas/metabolismo , Western Blotting , Caspasas Iniciadoras , Células Cultivadas , Ensayo de Inmunoadsorción Enzimática , Técnica del Anticuerpo Fluorescente Indirecta , Humanos , Inflamasomas/metabolismo , Interleucina-1alfa/metabolismo , Interleucina-1beta/farmacología , Lipopolisacáridos/farmacología , Epitelio Pigmentado Ocular/efectos de los fármacos , ARN Mensajero/genética , Reacción en Cadena en Tiempo Real de la Polimerasa , Transducción de Señal , Receptores Toll-Like/metabolismo , Regulación hacia Arriba
4.
Int Ophthalmol ; 38(5): 2053-2060, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28852897

RESUMEN

PURPOSE: In this study, we elucidated the effects of berberine, a major alkaloid component contained in medicinal herbs, such as Phellodendri Cortex and Coptidis Rhizoma, on expression of monocyte chemotactic protein-1 (MCP-1) and interleukin-8 (IL-8) in a human retinal pigment epithelial cell line (ARPE-19) caused by lipopolysaccharide (LPS) stimulation. METHODS: ARPE-19 cells were cultured to confluence. Berberine and LPS were added to the medium. MCP-1 and IL-8 mRNA were measured by real-time polymerase chain reaction. MCP-1 and IL-8 protein concentrations in the media were measured using enzyme-linked immunosorbent assay. RESULTS: After stimulation with LPS, MCP-1 and IL-8 mRNA in ARPE-19 cells reached maximum levels at 3 h, and MCP-1 and IL-8 protein in the culture media reached maximum levels at 24 h. Berberine dose-dependently inhibited MCP-1 and IL-8 mRNA expression of the cells and protein levels in the media stimulated with LPS. CONCLUSIONS: These findings indicate that berberine inhibited the expression of MCP-1 and IL-8 induced by LPS.


Asunto(s)
Berberina/farmacología , Quimiocina CCL2/genética , Regulación de la Expresión Génica/efectos de los fármacos , Interleucina-8/genética , Degeneración Macular/genética , Epitelio Pigmentado Ocular/metabolismo , ARN/genética , Células Cultivadas , Quimiocina CCL2/biosíntesis , Ensayo de Inmunoadsorción Enzimática , Humanos , Interleucina-8/biosíntesis , Lipopolisacáridos/farmacología , Degeneración Macular/metabolismo , Degeneración Macular/patología , Epitelio Pigmentado Ocular/efectos de los fármacos , Epitelio Pigmentado Ocular/patología
5.
Curr Eye Res ; 43(1): 135-146, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-28972410

RESUMEN

PURPOSE: Accumulation of lipoprotein-derived lipids including esterified and unesterified cholesterol in Bruch's membrane of human eyes is a major age-related change involved in initiating and sustaining soft drusen in age-related macular degeneration (AMD). The apolipoprotein (apo) A-I mimetic peptide 4F is a small anti-inflammatory and anti-atherogenic agent, and potent modifier of plasma membranes. We evaluated the effect of intravitreally-injected 4F on murine Bruch's membrane. METHODS: We tested single intravitreal injections of 4F doses (0.6 µg, 1.2 µg, 2.4 µg, and placebo scrambled peptide) in ApoEnull mice ≥10 months of age. After 30 days, mice were euthanized. Eyes were processed for either direct immunofluorescence detection of esterified cholesterol (EC) in Bruch's membrane whole mounts via a perfringolysin O-based marker linked to green fluorescent protein or by transmission electron microscopic visualization of Bruch's membrane integrity. Fluorescein isothiocyanate-conjugated 4F was traced after injection. RESULTS: All injected eyes showed a dose-dependent reduction of Bruch's membrane EC with a concomitant ultrastructural improvement compared to placebo treated eyes. At a 2.4 µg dose of 4F, EC was reduced on average by ~60% and Bruch's membrane returned to a regular pentalaminar structure and thickness. Tracer studies confirmed that injected 4F reached intraocular targets. CONCLUSION: We demonstrated a highly effective pharmacological reduction of EC and restoration of Bruch's membrane ultrastructure. The apoA-I mimetic peptide 4F is a novel way to treat a critical AMD disease process and thus represents a new candidate for treating the underlying cause of AMD.


Asunto(s)
Lámina Basal de la Coroides/metabolismo , Lípidos , Degeneración Macular/tratamiento farmacológico , Péptidos/farmacocinética , Animales , Lámina Basal de la Coroides/efectos de los fármacos , Lámina Basal de la Coroides/ultraestructura , Inyecciones Intravítreas , Degeneración Macular/metabolismo , Degeneración Macular/patología , Ratones , Microscopía Electrónica de Transmisión , Péptidos/administración & dosificación , Epitelio Pigmentado Ocular/efectos de los fármacos , Epitelio Pigmentado Ocular/metabolismo , Epitelio Pigmentado Ocular/ultraestructura
6.
Dev Neurobiol ; 77(12): 1385-1400, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-29030893

RESUMEN

Sonic hedgehog (Shh) signaling plays a major role in vertebrate development, from regulation of proliferation to the patterning of various organs. In amniotes, Shh affects dorsoventral patterning in the inner ear but affects anteroposterior patterning in teleost ears. It remains unknown how altered function of Shh relates to morphogenetic changes that coincide with the evolution of limbs and novel auditory organs in the ear. In this study, we used the tetrapod, Xenopus laevis, to test how increasing concentrations of the Shh signal pathway antagonist, Vismodegib, affects ear development. Vismodegib treatment dose dependently alters the development of the ear, hypaxial muscle, and indirectly the Mauthner cell through its interaction with the inner ear afferents. Together, these phenotypes have an effect on escape response. The altered Mauthner cell likely contributes to the increased time to respond to a stimulus. In addition, the increased hypaxial muscle in the trunk likely contributes to the subtle change in animal C-start flexion angle. In the ear, Vismodegib treatment results in decreasing segregation between the gravistatic sensory epithelia as the concentration of Vismodegib increases. Furthermore, at higher doses, there is a loss of the horizontal canal but no enantiomorphic transformation, as in bony fish lacking Shh. Like in amniotes, Shh signaling in frogs affects dorsoventral patterning in the ear, suggesting that auditory sensory evolution in sarcopterygians/tetrapods evolved with a shift of Shh function in axis specification. © 2017 Wiley Periodicals, Inc. Develop Neurobiol 77: 1385-1400, 2017.


Asunto(s)
Anilidas/farmacología , Tipificación del Cuerpo/efectos de los fármacos , Oído Interno/crecimiento & desarrollo , Oído Interno/metabolismo , Regulación del Desarrollo de la Expresión Génica/efectos de los fármacos , Proteínas Hedgehog/antagonistas & inhibidores , Proteínas Hedgehog/metabolismo , Piridinas/farmacología , Animales , Tipificación del Cuerpo/fisiología , Dextranos/metabolismo , Relación Dosis-Respuesta a Droga , Reacción de Fuga/efectos de los fármacos , Femenino , Imagenología Tridimensional , Larva , Locomoción/efectos de los fármacos , Locomoción/fisiología , Miosina Tipo IV/metabolismo , Mucosa Olfatoria/efectos de los fármacos , Mucosa Olfatoria/crecimiento & desarrollo , Epitelio Pigmentado Ocular/efectos de los fármacos , Epitelio Pigmentado Ocular/crecimiento & desarrollo , Pigmentación/efectos de los fármacos , Natación , Xenopus laevis
7.
J Pharmacol Exp Ther ; 362(1): 131-145, 2017 07.
Artículo en Inglés | MEDLINE | ID: mdl-28476927

RESUMEN

Modulators of the visual cycle have been developed for treatment of various retinal disorders. These agents were designed to inhibit retinoid isomerase [retinal pigment epithelium-specific 65 kDa protein (RPE65)], the rate-limiting enzyme of the visual cycle, based on the idea that attenuation of visual pigment regeneration could reduce formation of toxic retinal conjugates. Of these agents, certain ones that contain primary amine groups can also reversibly form retinaldehyde Schiff base adducts, which contributes to their retinal protective activity. Direct inhibition of RPE65 as a therapeutic strategy is complicated by adverse effects resulting from slowed chromophore regeneration, whereas effective retinal sequestration can require high drug doses with potential off-target effects. We hypothesized that the RPE65-emixustat crystal structure could help guide the design of retinaldehyde-sequestering agents with varying degrees of RPE65 inhibitory activity. We found that addition of an isopropyl group to the central phenyl ring of emixustat and related compounds resulted in agents effectively lacking in vitro retinoid isomerase inhibitory activity, whereas substitution of the terminal 6-membered ring with branched moieties capable of stronger RPE65 interaction potentiated inhibition. The isopropyl derivative series produced discernible visual cycle suppression in vivo, albeit much less potently than compounds with a high affinity for the RPE65 active site. These agents were distributed into the retina and formed Schiff base adducts with retinaldehyde. Except for one compound [3-amino-1-(3-isopropyl-5-((2,6,6-trimethylcyclohex-1-en-1-yl)methoxy)phenyl)propan-1-ol (MB-007)], these agents conferred protection against retinal phototoxicity, suggesting that both direct RPE65 inhibition and retinal sequestration are mechanisms of potential therapeutic relevance.


Asunto(s)
Visión Ocular/efectos de los fármacos , cis-trans-Isomerasas/antagonistas & inhibidores , Transportadoras de Casetes de Unión a ATP/genética , Transportadoras de Casetes de Unión a ATP/metabolismo , Oxidorreductasas de Alcohol/genética , Oxidorreductasas de Alcohol/metabolismo , Animales , Sitios de Unión , Bovinos , Dermatitis Fototóxica/prevención & control , Femenino , Cinética , Masculino , Ratones , Ratones Endogámicos C57BL , Microsomas/enzimología , Modelos Moleculares , Epitelio Pigmentado Ocular/efectos de los fármacos , Regeneración/efectos de los fármacos , Enfermedades de la Retina/prevención & control , Epitelio Pigmentado de la Retina/efectos de los fármacos , Bases de Schiff/química , cis-trans-Isomerasas/química , cis-trans-Isomerasas/genética , cis-trans-Isomerasas/aislamiento & purificación , cis-trans-Isomerasas/metabolismo
8.
Vestn Oftalmol ; 133(6): 90-98, 2017.
Artículo en Ruso | MEDLINE | ID: mdl-29319674

RESUMEN

Currently, multiple techniques exist to repair a macular hole, but the functional result may be largely affected by the use of dyes during surgery. With our original visualization methods, one is able to remove the internal limiting membrane (ILM) without staining, and thus to avoid the toxic effect of dyes. AIM: to compare anatomical and functional results of surgical closure of large macular holes with or without ILM staining. MATERIAL AND METHODS: A total of 160 patients (190 eyes) were divided into 2 groups. Patients from group 1 (60 eyes) were subjected to surgery that involved the use of a dye, while in group 2 (130 eyes) ILM was not performed. Anatomical and functional results of the two groups were then compared. RESULTS: The next day after surgery, a large improvement in the best corrected visual acuity - of 3 lines or more - was found in 28 controls (46.6%) and 98 patients from the main group (75.4%). There was no significant change in 24 and 27 patients, respectively (40.0% and 20.7%). The remaining 8 and 5 patients (13.4% and 3.9%) deteriorated by 3 lines or more. CONCLUSION: Stain-free removal of the ILM under green-yellow light favours rapid recovery of visual acuity in patients with macular holes. Anatomical reconstruction of the foveola, including complete approximation of the hole margins and keeping the defect closed until the end of the operation, is controlled through a built-in optical coherence tomograph ensuring high anatomical and functional results.


Asunto(s)
Catarata , Membrana Epirretinal/diagnóstico por imagen , Epitelio Pigmentado Ocular , Complicaciones Posoperatorias , Perforaciones de la Retina/cirugía , Coloración y Etiquetado/métodos , Tomografía de Coherencia Óptica/métodos , Azul de Tripano/efectos adversos , Vitrectomía , Atrofia/inducido químicamente , Atrofia/diagnóstico , Catarata/diagnóstico , Catarata/etiología , Colorantes/administración & dosificación , Colorantes/efectos adversos , Investigación sobre la Eficacia Comparativa , Femenino , Humanos , Masculino , Persona de Mediana Edad , Monitoreo Intraoperatorio/métodos , Epitelio Pigmentado Ocular/efectos de los fármacos , Epitelio Pigmentado Ocular/patología , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/prevención & control , Perforaciones de la Retina/diagnóstico , Estudios Retrospectivos , Federación de Rusia , Resultado del Tratamiento , Azul de Tripano/administración & dosificación , Agudeza Visual , Vitrectomía/efectos adversos , Vitrectomía/métodos
9.
Invest Ophthalmol Vis Sci ; 57(15): 6784-6794, 2016 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-28002566

RESUMEN

Purpose: To investigate the effects of cAMP on transepithelial electrical parameters and fluid transport across porcine ciliary epithelium. Methods: Transepithelial electrical parameters were determined by mounting freshly isolated porcine ciliary epithelium in a modified Ussing chamber. Similarly, fluid movement across intact ciliary body was measured with a custom-made fluid flow chamber. Results: Addition of 1, 10, and 100 µM 8-Br-cAMP (cAMP) to the aqueous side (nonpigmented ciliary epithelium, NPE) induced a sustained increase in short-circuit current (Isc). Addition of niflumic acid (NFA) to the aqueous surface effectively blocked the cAMP-induced Isc stimulation. The administration of cAMP to the stromal side (pigmented ciliary epithelium, PE) triggered a significant stimulation of Isc only at 100 µM. No additive effect was observed with bilateral application of cAMP. Likewise, forskolin caused a significant stimulation of Isc when applied to the aqueous side. Concomitantly, cAMP and forskolin increased fluid transport across porcine ciliary epithelium, and this stimulation was effectively inhibited by aqueous NFA. Depleting Cl- in the bathing solution abolished the baseline Isc and inhibited the subsequent stimulation by cAMP. Pretreatment with protein kinase A (PKA) blockers (H89/KT5720) significantly inhibited the cAMP- and forskolin-induced Isc responses. Conclusions: Our results suggest that cAMP triggers a sustained stimulation of Cl- and fluid transport across porcine ciliary epithelium; Cl- channels in the NPE cells are potentially a cellular site for this PKA-sensitive cAMP-mediated response.


Asunto(s)
Cuerpo Ciliar/metabolismo , AMP Cíclico/farmacología , Epitelio Pigmentado Ocular/metabolismo , Animales , Transporte Biológico/efectos de los fármacos , Canales de Cloruro/metabolismo , Cuerpo Ciliar/citología , Conductividad Eléctrica , Epitelio/efectos de los fármacos , Epitelio/metabolismo , Líquido Intracelular/metabolismo , Modelos Animales , Epitelio Pigmentado Ocular/efectos de los fármacos , Porcinos
10.
Sci Rep ; 6: 30872, 2016 08 03.
Artículo en Inglés | MEDLINE | ID: mdl-27484779

RESUMEN

TGF-ß and myofibroblasts play a key role in fibrosis, characterized by aberrant synthesis and deposition of extracellular matrix (ECM) proteins, such as fibronectin (Fn) and collagen type I. There are two major roles played by integrins in the fibrotic pathology: (i) Fn-integrin interaction, coupled with cytokines like TGF-ß, facilitates the self-polymerization of Fn and regulates cell-matrix fibrillar adhesions, thereby promoting fibrillogenesis; (ii) Integrin interaction with an RGD (arginine-glycine-aspartic) consensus sequence in the latent TGF-ß, resulting in its activation. This study describes an anti-fibrotic strategy using a combination of two antibodies: Fn52 (targeted against the N-terminal 30 kDa region of fibronectin, a major site for Fn self-association), and its engineered form, Fn52RGDS (which binds to integrins). Interestingly, a synergistic effect of the cocktail in causing a decline in fibrotic features was confirmed in the context of fibrotic posterior capsular opacification (PCO), mediated by the lens epithelial cells (left behind after cataract surgery). Inclusion of Fn52RGDS to Fn52 aids in better diffusion of the antibodies; such combination therapies could be useful in the context of pathologies involving extensive remodeling of the fibronectin matrix, where the thick ECM offers a major challenge for efficient drug delivery.


Asunto(s)
Citocinas/antagonistas & inhibidores , Sinergismo Farmacológico , Fibrosis/prevención & control , Oligopéptidos/farmacología , Epitelio Pigmentado Ocular/efectos de los fármacos , Anticuerpos de Cadena Única/farmacología , Proliferación Celular/efectos de los fármacos , Células Cultivadas , Citocinas/inmunología , Fibronectinas , Fibrosis/metabolismo , Fibrosis/patología , Humanos , Integrinas/metabolismo , Epitelio Pigmentado Ocular/metabolismo , Epitelio Pigmentado Ocular/patología
11.
Optom Vis Sci ; 93(1): 103-6, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26583798

RESUMEN

PURPOSE: To report a case of acute posterior multifocal placoid pigment epitheliopathy (APMPPE) with atypical features. CASE REPORT: A 30-year-old otherwise healthy woman presented with a 7-day history of visual disturbance in her left eye. The best corrected visual acuity in her left eye was 6/36. Funduscopy revealed multiple cream-colored placoid lesions, serous macular elevation, and papillitis. Fundus fluorescein angiography revealed early hypofluorescence and late hyperfluorescence. Systemic and neurologic assessments were normal. The case shared features with both APMPPE and Harada's disease, making it a diagnostic challenge. However, APMPPE may rarely mimic Harada's disease when it manifests with atypical features, like serous retinal detachment and papillitis. The patient was managed with oral prednisolone with slow tapering. Her visual acuity improved gradually to 6/12. Neither involvement of fellow eye nor recurrence in same eye was noted for a period of 1 year. CONCLUSIONS: Acute posterior multifocal placoid pigment epitheliopathy may rarely manifest with atypical features, including papillitis and serous retinal detachment, perplexing the diagnosis and management.


Asunto(s)
Papiledema/diagnóstico , Epitelio Pigmentado Ocular/patología , Enfermedades de la Retina/diagnóstico , Enfermedad Aguda , Adulto , Femenino , Angiografía con Fluoresceína , Glucocorticoides/uso terapéutico , Humanos , Papiledema/tratamiento farmacológico , Epitelio Pigmentado Ocular/efectos de los fármacos , Prednisolona/uso terapéutico , Enfermedades de la Retina/tratamiento farmacológico , Trastornos de la Visión/diagnóstico , Trastornos de la Visión/tratamiento farmacológico , Agudeza Visual/fisiología
12.
Rev Med Liege ; 71(7-8): 321-323, 2016 Jul.
Artículo en Francés | MEDLINE | ID: mdl-28383838

RESUMEN

Bilateral Acute Iris Transillumination (BAIT) is a new clinical entity characterized by acute onset of pigment dispersion in the anterior chamber and angle, depigmentation of the iris stroma and permanent iris transillumination, masquerading as uveitis. An association with oral moxifloxacin is reported in some articles. We describe one case of bilateral acute iris transillumination, following the use of systemic moxifloxacin.


La Transillumination Irienne Bilatérale Aiguë (TIBA) est une nouvelle entité clinique, caractérisée par une dispersion pigmentaire aiguë en chambre antérieure et dans l'angle iridocornéen, une dépigmentation du stroma irien et une transillumination irienne définitive, mimant une uvéite antérieure. Une association avec un traitement systémique par moxifloxacine est relatée dans plusieurs articles. Nous rapportons un cas de transillumination irienne bilatérale aiguë ayant suivi la prise systémique de moxifloxacine.


Asunto(s)
Fluoroquinolonas/efectos adversos , Enfermedades del Iris/inducido químicamente , Enfermedad Aguda , Adulto , Bronquitis/tratamiento farmacológico , Femenino , Fluoroquinolonas/uso terapéutico , Humanos , Iris/efectos de los fármacos , Iris/patología , Enfermedades del Iris/diagnóstico , Moxifloxacino , Epitelio Pigmentado Ocular/efectos de los fármacos , Epitelio Pigmentado Ocular/patología
14.
Rom J Ophthalmol ; 59(1): 52-8, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-27373117

RESUMEN

PURPOSE: To report a case of acute posterior multifocal placoid pigment epitheliopathy (APMPPE), following influenza vaccination. CASE REPORT: An 18-year-old female patient developed a painless significant bilateral decrease of vision, moderate photophobia, metamorphopsia and intermittent headaches two weeks after having a seasonal anti-flu immunization. Clinical evaluation and ancillary testing pointed toward the diagnosis of APMPPE. The case evolved favorable after oral prednisone 0.5 mg/kg/day gradually decreased for over 4 weeks. A total recovery of visual function and no recurrences were noticed at 1, 3 and 5 years follow-up. CONCLUSIONS: Previous case reports already suggested a possible relationship between various immunizations and APMPPE onset. This case is the first one reported in our country. Epidemiological studies are required to link APMPPE occurrence and vaccination.


Asunto(s)
Coroiditis/diagnóstico , Coroiditis/virología , Vacunas contra la Influenza/efectos adversos , Papiledema/diagnóstico , Papiledema/virología , Epitelio Pigmentado Ocular/patología , Vacunación/efectos adversos , Enfermedad Aguda , Adolescente , Coroiditis/tratamiento farmacológico , Femenino , Glucocorticoides/uso terapéutico , Humanos , Gripe Humana/prevención & control , Coroiditis Multifocal , Papiledema/tratamiento farmacológico , Epitelio Pigmentado Ocular/efectos de los fármacos , Prednisona/uso terapéutico , Resultado del Tratamiento , Agudeza Visual
15.
Rev Med Liege ; 70(12): 606-8, 2015 Dec.
Artículo en Francés | MEDLINE | ID: mdl-26867304

RESUMEN

Bilateral Acute Iris Transillumination (BAIT) is a new clinical entity characterized by acute onset of pigment dispersion in the anterior chamber and angle, depigmentation of the iris stroma and permanent iris transillumination, mas- querading as uveitis. An association with oral moxifloxacin is reported in some articles. We describe one case of bilate- ral acute iris transillumination, following the use of systemic moxifloxacin.


Asunto(s)
Antibacterianos/efectos adversos , Fluoroquinolonas/efectos adversos , Enfermedades del Iris/inducido químicamente , Epitelio Pigmentado Ocular/efectos de los fármacos , Adulto , Femenino , Humanos , Moxifloxacino
16.
Invest Ophthalmol Vis Sci ; 55(3): 1941-53, 2014 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-24481259

RESUMEN

PURPOSE: To systematically characterize the effects of NaIO3 on retinal morphology and function. METHODS: NaIO3 at 10, 20, or 30 mg/kg was administered by retro-orbital injection into adult C57BL/6J mice. Phenotypic and functional changes of the retina were assessed at 1, 3, 5, and 8 days postinjection by fundus imaging, optical coherence tomography (OCT), ERG, and histology. Direct NaIO3 cytotoxicity on ARPE-19 and 661W cells was quantified using lactate dehydrogenase (LDH) apoptosis assay. Effect of NaIO3 on RPE and photoreceptor gene expression was assessed in vitro and in vivo by quantitative PCR. RESULTS: While little to no change was observed in the 10 mg/kg NaIO3-injected group, significant retinal anomalies, such as RPE atrophy and retinal thinning, were observed in both 20 and 30 mg/kg NaIO3-injected groups. Gene expression analysis showed rapid downregulation of RPE-specific genes, increase in heme oxygenase 1 expression, and induction of the ratio of Bax to Bcl-2. Electroretinographic response loss and photoreceptor gene repression preceded gross morphological changes. High NaIO3 toxicity on 661W cells was observed in vitro along with reactive oxygen species (ROS) induction. NaIO3 treatment also disrupted oxidative stress, phototransduction, and apoptosis gene expression in 661W cells. Exposure of ARPE-19 cells to NaIO3 increased expression of neurotrophins and protected photoreceptors from direct NaIO3 cytotoxicity. CONCLUSIONS: Systematic characterization of changes associated with NaIO3 injection revealed a large variability in the severity of toxicity induced. Treatment with >20 mg/kg NaIO3 induced visual dysfunction associated with rapid suppression of phototransduction genes and induced oxidative stress in photoreceptors. These results suggest that NaIO3 can directly alter photoreceptor function and survival.


Asunto(s)
Yodatos/toxicidad , Estrés Oxidativo , Epitelio Pigmentado Ocular/efectos de los fármacos , Especies Reactivas de Oxígeno/metabolismo , Degeneración Retiniana/metabolismo , Animales , Apoptosis , Modelos Animales de Enfermedad , Masculino , Ratones , Ratones Endogámicos C57BL , Epitelio Pigmentado Ocular/metabolismo , Epitelio Pigmentado Ocular/patología , Degeneración Retiniana/inducido químicamente , Degeneración Retiniana/patología , Tomografía de Coherencia Óptica/métodos
17.
Invest Ophthalmol Vis Sci ; 55(1): 460-8, 2014 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-24398101

RESUMEN

PURPOSE: To determine the effect of a statin (simvastatin) on the ultrastructure and function of the RPE, Bruch's membrane (BM), and photoreceptor interface in a high-fat atherogenic mouse model of thickened BM. METHODS: Wild-type C57BL/6 mice (6-weeks old) were divided into three study groups according to their diet and treatment given; Group 1, normal chow diet-fed mice; Group 2, high fat diet (HFD) fed mice; and Group 3, HFD-fed mice treated with simvastatin daily for 30 weeks. All mice were followed-up for 30 weeks. The retinal morphology and function was examined in vivo using fundus imaging and electroretinography at 15- and 30-weeks follow-up. At the end of the study, at 36 weeks of age, eye tissues were collected and retinal sections were examined using light microscopy and transmission electron microscopy. RESULTS: Fundus images of the HFD-fed mice showed the presence of discrete, multiple white spots, which was significantly reduced by approximately 73% in the simvastatin-treated animals. In the HFD-fed mice, there was an increase in the empty cytoplasmic vacuoles of the RPE, presence of lipid droplets in the BM, thickening and fragmentation of the elastic lamina of the BM, and a reduction in retinal function; these ultrastructural and functional changes were significantly improved in the simvastatin-treated group. CONCLUSIONS: Chronic administration of simvastatin significantly improves the ultrastructure and function of the RPE, BM, and photoreceptor in a high-fat atherogenic mouse model of thickened BM.


Asunto(s)
Aterosclerosis/tratamiento farmacológico , Lámina Basal de la Coroides/ultraestructura , Degeneración Macular/tratamiento farmacológico , Epitelio Pigmentado Ocular/ultraestructura , Simvastatina/uso terapéutico , Animales , Anticolesterolemiantes/uso terapéutico , Aterosclerosis/patología , Aterosclerosis/fisiopatología , Lámina Basal de la Coroides/efectos de los fármacos , Modelos Animales de Enfermedad , Electrorretinografía , Estudios de Seguimiento , Degeneración Macular/etiología , Degeneración Macular/patología , Ratones , Ratones Endogámicos C57BL , Microscopía Electrónica de Transmisión , Epitelio Pigmentado Ocular/efectos de los fármacos , Epitelio Pigmentado Ocular/fisiopatología , Resultado del Tratamiento
18.
Mol Vis ; 19: 2227-36, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24227918

RESUMEN

PURPOSE: Our previous study showed that apelin was increased in the vitreous and fibrotic membranes of patients with proliferative diabetic retinopathy (PDR) in vivo, which suggested that apelin may be involved in the development of PDR. In this study, we investigated whether the expression of apelin was upregulated in human retinal pigment epithelial (RPE) cells in vitro under high glucose conditions. Furthermore, to explore the role of apelin in RPE cells, we investigated the effect of exogenous recombinant apelin on proliferation, migration, and collagen I (a major component of extracellular matrix molecules, associated with PDR) expression and investigated the signaling pathways involved in these processes. METHODS: Real-time PCR and western blot were performed to determine the apelin expression in ARPE-19 cells under high glucose conditions. Exogenous recombinant apelin was used to study the effect of apelin on ARPE-19 cells in vitro. Cell proliferation, migration, and collagen I expression were assessed using an MTT assay, a transwell assay, and real-time PCR analysis. LY294002 (an inhibitor of phosphatidylinositol 3-kinase) and PD98059 (an inhibitor of mitogen-activated protein kinase) were used to help to determine the apelin signaling mechanism. RESULTS: High glucose upregulated apelin expression in RPE cells. Exogenous recombinant apelin activated protein kinase B (Akt) and extracellular signal-regulated kinase (Erk) phosphorylation and promoted proliferation, migration, and collagen I expression in RPE cells. Pretreatment with LY294002 and PD98059 abolished apelin-induced activation of Akt and Erk, proliferation, and collagen I expression. Apelin-induced migration was partially blocked by pretreatment with LY294002 and PD98059. CONCLUSIONS: The expression of apelin was upregulated under high glucose conditions in RPE cells in vitro. Exogenous recombinant apelin increased the biologic activity of RPE cells, as well as the expression of collagen I. Apelin promoted proliferation, migration, and collagen I expression through the PI3K/Akt and MEK/Erk signaling pathways in RPE cells. From these results, we revealed the role of apelin in regulating proliferation, migration, and collagen I expression in RPE cells and the signaling mechanism under these processes, which suggested that apelin may play a profibrotic role in the development of PDR.


Asunto(s)
Movimiento Celular/efectos de los fármacos , Colágeno Tipo I/genética , Péptidos y Proteínas de Señalización Intercelular/farmacología , Sistema de Señalización de MAP Quinasas/efectos de los fármacos , Fosfatidilinositol 3-Quinasas/metabolismo , Epitelio Pigmentado Ocular/citología , Proteínas Proto-Oncogénicas c-akt/metabolismo , Apelina , Proliferación Celular/efectos de los fármacos , Colágeno Tipo I/metabolismo , Quinasas MAP Reguladas por Señal Extracelular/metabolismo , Regulación de la Expresión Génica/efectos de los fármacos , Glucosa/farmacología , Humanos , Péptidos y Proteínas de Señalización Intercelular/genética , Péptidos y Proteínas de Señalización Intercelular/metabolismo , Sistema de Señalización de MAP Quinasas/genética , Quinasas de Proteína Quinasa Activadas por Mitógenos/metabolismo , Fosforilación/efectos de los fármacos , Epitelio Pigmentado Ocular/efectos de los fármacos , Epitelio Pigmentado Ocular/enzimología , ARN Mensajero/genética , ARN Mensajero/metabolismo
19.
Zhongguo Zhong Xi Yi Jie He Za Zhi ; 33(4): 531-7, 2013 Apr.
Artículo en Chino | MEDLINE | ID: mdl-23841278

RESUMEN

OBJECTIVE: To investigate the in vivo inhibition of extract of Fructus lycii (FL) on the expressions of cathepsin B (Cat B) and cystatin C (Cys C) in high-fat diet and hydroquinone (HQ) induced model mice with age-related macular degeneration (AMD), and to explore the in vitro effects of lutein and zeaxanthin on hydrogen peroxide (H2O2,) induced expressions of matrix metalloproteinase 2 (MMP-2) and tissue inhibitor of metalloproteinase 2 (TIMP-2) on ARPE-19 cells. METHODS: Fifty female 8-month-old C57BL/6 mice were recruited in this research. Ten mice fed with regular diet was taken as the age control group. The rest 40 mice were fed with high fat diet for 6 months, followed by adding HQ (0. 8%) in the drinking water for 3 consecutive months. Then the modeled mice were randomly divided into the model control group (n =10), the high (at the daily dose of 3.75 g/kg), middle (at the daily dose of 2.50 g/kg), and low dose (at the daily dose of 1.25 g/kg) FL groups, 10 in each group. The extract of FL at each dose was respectively administered to mice by gastrogavage for 3 successive months. By the end of the experiment, the mice were killed and their eyeballs were removed. The protein expressions of Cat B and Cys C were observed by immunohistochemical assay. The mRNA and protein expressions of Cat B and Cys C were detected by real-time PCR and Western blot respectively. The drug concentrations of H2O2, lutein, and zeaxanthin were screened and detected using the activity of cell proliferation. The protein expressions of MMP-2 and TIMP-2 were detected using Western blot. RESULTS: Compared with the age control group, the mRNA and protein expressions of Cat B and Cys C were significantly higher in the in vivo model control group (P <0.05, P <0.01). The mRNA expressions of Cat B and Cys C were weaker in the middle and high dose FL groups than in the model control group (P <0. 05, P <0. 01). In in vitro cells, lutein and zeaxanthin could down-regulate the protein expressions of MMP-2 and TIMP-2 in H202 induced ARPE-19 cells (P <0. 05, P <0. 01). CONCLUSIONS: Extract of FL could down-regulate the high protein expressions of Cat B and Cys C in high-fat diet and HQ induced model mice. Lutein and zeaxanthin could down-regulate the protein expressions of MMP-2 and TIMP-2 in H202 induced ARPE-19 cells.


Asunto(s)
Medicamentos Herbarios Chinos/farmacología , Luteína/farmacología , Degeneración Macular/prevención & control , Xantófilas/farmacología , Animales , Catepsina B/metabolismo , Cistatina C/metabolismo , Femenino , Peróxido de Hidrógeno , Metaloproteinasa 2 de la Matriz/metabolismo , Ratones , Ratones Endogámicos C57BL , Epitelio Pigmentado Ocular/efectos de los fármacos , Epitelio Pigmentado Ocular/metabolismo , Inhibidor Tisular de Metaloproteinasa-2/metabolismo , Zeaxantinas
20.
Toxicol Sci ; 133(2): 275-88, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23549158

RESUMEN

Systematic toxicological study is still required to fully understand the hazard potentials of gold nanoparticles (AuNPs). Because their biomedical applications are rapidly evolving, we investigated developmental toxicity of AuNPs in an in vivo embryonic zebrafish model at exposure concentration ranges from 0.08 to 50mg/l. Exposure of zebrafish embryos to 1.3 nm AuNPs functionalized with a cationic ligand, N,N,N-trimethylammoniumethanethiol (TMAT-AuNPs), resulted in smaller malpigmented eyes. We determined that TMAT-AuNPs caused a significant increase of cell death in the eye, which was correlated with an increase in gene expression of p53 and bax. Expression patterns of key transcription factors regulating eye development (pax6a, pax6b, otx2, and rx1) and pigmentation (sox10) were both repressed in a concentration-dependent manner in embryos exposed to TMAT-AuNPs. Reduced spatial localization of pax6a, rx1, sox10, and mitfa was observed in embryos by whole-mount in situ hybridization. The swimming behavior of embryos exposed to sublethal concentrations of TMAT-AuNPs showed hypoactivity, and embryos exhibited axonal growth inhibition. Overall, these results demonstrated that TMAT-AuNPs disrupt the progression of eye development and pigmentation that continues to behavioral and neuronal damage in the developing zebrafish.


Asunto(s)
Ojo/efectos de los fármacos , Oro , Nanopartículas del Metal/toxicidad , Epitelio Pigmentado Ocular/efectos de los fármacos , Pez Cebra/fisiología , Animales , Apoptosis/efectos de los fármacos , Conducta Animal/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Embrión no Mamífero/efectos de los fármacos , Embrión no Mamífero/embriología , Embrión no Mamífero/patología , Ojo/embriología , Regulación del Desarrollo de la Expresión Génica/efectos de los fármacos , Hibridación in Situ , Actividad Motora/efectos de los fármacos , Neuronas/efectos de los fármacos , Neuronas/patología , Epitelio Pigmentado Ocular/embriología , Natación , Proteína p53 Supresora de Tumor/genética , Proteínas de Pez Cebra/genética , Proteína X Asociada a bcl-2/genética
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